Vanderhorst, Wouter

Vanderhorst, Wouter is an individual health care provider with primary practice located at 14141 46Th N St 1202 , Clearwater FL 33762-3860. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vanderhorst, Wouter can be contacted via phone (727) 535-6746.

Contact Information

Primary practice address
14141 46Th N St 1202 Clearwater FL 33762-3860
Phone: (727) 535-6746
Fax: (727) 536-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0007949 Florida

Profile Details

NPI number 1396740890
LBN Legal business name Vanderhorst, Wouter
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396740890 NPPES
Florida MEDICAID 88645300

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